Intellis OP CDI

Outpatient (OP) CDI solutions for optimal reimbursement and improved care

T

he emphasis on the quality and cost components of the Merit-based Incentive Payment System (MIPS) and the increasing demand for outpatient services elevates the need for precise outpatient documentation. The cost component of MIPS uses risk adjustment methodology. Accurate reporting of hierarchical condition category (HCC) diagnoses is critical in illustrating the acuity of the patient and in determining risk

Elevating OP Clinical Documentation Integrity adjustment factor (RAF) scores. In short: Cost component of MIPS = HCCs = Risk Adjustment. At Intellis, we are leaders in OP Clinical Documentation Integrity (OP CDI). Our expertise and solutions impact both patient care and the bottom line. We determine how to best leverage OP CDI by ensuring that HCC coding meets quality care and reimbursement targets and subsequently optimizes RAF scores.

THE INTELLIS ADVANTAGE

O U T PAT IE N T C D I S OLU T I ON S Audit Services: Our auditors examine the baseline understanding of OP code reporting and assignment for both the provider and coder. Our audits focus on new, established, and preventive/well visits to identify documentation gaps.

Education Services: Our educators transform the audit results into targeted education to meet the needs of the providers. This includes focused education to identify missed opportunities and guidance for change.

Outpatient CDI Services: Our CDI experts work with facilities to ensure the capture of complete and accurate OP clinical documentation. We streamline approaches to meet the individual provider preferences and program needs.

IntelliScope, our prospective value calculation tool, supports our services ensuring the accuracy of our data analytics and projecting reimbursement losses and gains.

To learn more about Intellis OP CDI solutions, please contact: sales@intellisIQ.com 1742 S. Woodland Boulevard, Suite 205, DeLand, FL 32720 • 866.840.6052 • intellisIQ.com • sales@intellisIQ.com

Elevating the Business of Healthcare

Our Industry-Leading OP CDI Experts Kim Felix RHIA, CCS, Vice President of Education Kim has more than twenty-five years of HIM coding experience, including coding, auditing, and management at academic medical centers as well as community hospitals. She was a project manager for a Big Four RADV audit and ICD-10 conversion for analytics software.

Kim is a distinguished member and presenter for various national and local associations. She is a recognized leader in the HIM education field. Her education experience includes adjunct faculty appointments at Temple University, Gwynedd-Mercy College, Pierce College, Thomas Jefferson University as well as acting as a study mentor at Western Governors University.

Jeanie Heck BBA, CCS, CPC, CRC, Director of Education Jeanie has built a career in the HIM field for more than twenty-five years. Her work has focused on the outpatient practice arena. She has extensive experience as both a business and a practice manager.

Jeanie is an approved AHIMA ICD-10-CM trainer and has extensive teaching experience in CPT, ICD-9-CM, ICD-10-CM, ICD10-PCS, medical coding practicum, healthcare reimbursement, and medical terminology. She serves as an adjunct instructor at Camden County College and Santa Barbara City College.

She currently serves as a lead auditor for a Big Four RADV audit.

Allison Van Doren RN, BSN, CCDS, CDIP, CRC, Vice President of Clinical and Quality Services Allison is a national leader for CDI and Quality initiatives. She possesses extensive experience in creating and managing CDI programs, PSI and Mortality committees leading academic medical centers to best documentation practices. Her approach profoundly impacts patient care, patient safety, denials, and reimbursement. Additionally, she has 15+ years of cardiac and surgical care nursing experience.

Allison’s passion for CDI focuses on both education and quality.

She understands clients’ complex needs and provides knowledge-based training, support solutions, and excellent service.

Our Proven Expertise 3 Conveys advanced knowledge of CMS landscape and standards 3 Quantifies lost reimbursement 3 Customizes programs to optimize reimbursement 3 Analyzes primary care and specialty clinic coded data 3 Leverages analytics, EHR tech to drive process improvements 3 Empowers physicians to focus on quality patient care 3 Tailors education for providers and coders

Our Healthcare Advisory Solutions Revenue Cycle and Health Information Services • Medical Coding • Medical Coding Audits • Department Operational Assessments • Chargemaster Engagements • Risk Adjustment/HCC Coding and Auditing • Denials Management

Health Information Technology Services • Master Patient Index Clean-up • Clinical Data Abstraction • Scanning & Indexing - EMR Implementation - HIMMS Stage 7 Point of Care • EPIC Implementation and Management • OnBase Implementation and Management

Clinical Documentation and Quality Services • Second Level Reviews Education and • Query Reviews Training Services • CDI Department Assessments • Medical Coding • IP and OP Program Implementation • Clinical Documentation Integrity • IP and OP CDI Review Process • Provider Education • PSI and Mortality Review/Committee • Annual Coding Updates Implementation Intellis can provide credentialed staff augmentation, program support and interim management across the revenue cycle continuum.

1742 S. Woodland Boulevard, Suite 205, DeLand, FL 32720 • 866.840.6052 • intellisIQ.com • sales@intellisIQ.com